ADC Proscope 675 Pediatric Dual-Head General-Exam Stethoscope, 31.5" Length, Teal Lightweight aluminum combination chestpiece with 1 1/4 diaphram and 3/4 inch non chill bell and rim Adjustable aluminum binaurals with pvc eartips Flexible 22 inch pvc tubing Spare pair of black mushrooom eartips included Inspected and packaged in the usa